Raine study
cryptorchidism
in-utero exposures
pregnancy
stressful life events
Journal
Frontiers in endocrinology
ISSN: 1664-2392
Titre abrégé: Front Endocrinol (Lausanne)
Pays: Switzerland
ID NLM: 101555782
Informations de publication
Date de publication:
2019
2019
Historique:
received:
29
05
2019
accepted:
17
07
2019
entrez:
21
8
2019
pubmed:
21
8
2019
medline:
21
8
2019
Statut:
epublish
Résumé
Cryptorchidism, registered at birth or later, is the most common birth defect in males in western countries, estimated to affect around 2-3% of newborn boys, declining to around 2% at 3 months. We have previously described a potential association between stressful life events (SLEs) in pregnancy and reduced semen quality and testosterone levels in adult offspring. Both outcomes are believed to share a common etiology with cryptorchidism thus increased risk of cryptorchidism in boys exposed to prenatal SLEs may be plausible. The risk of cryptorchidism associated with prenatal SLE amongst 1,273 male Generation 2 offspring was estimated using the Western Australian Pregnancy (Raine) Study. SLEs are discrete experiences that disrupt an individual's usual activities causing a life change and readjustment, such as death of a relative or friend, divorce, illness or job loss. Mothers prospectively reported SLEs, during pregnancy at gestational weeks (GW) 18 and 34 using a standardized 10-point questionnaire. A boy was diagnosed as cryptorchid if one or both testes was non-palpable in the scrotum and not able to be manipulated into the scrotum. Twenty-four (2%) cryptorchid boys were identified. Mean (standard deviation) of SLE exposures in GW34 was 1.1 (1.2) for non-cryptorchid boys and slightly higher 1.5 (1.8) for cryptorchid boys, similar differences were observed in GW18. Adjusted odds ratio [OR] and 95% confidence intervals (CI) for risk of cryptorchidism in early (18-weeks) and late gestation (34-weeks) according to prenatal SLE exposures were: 1.06 (95% CI: 0.77-1.45) and 1.18 (95% CI: 0.84-1.67), respectively. This is the first-time report on the possible relationships between exposure to early and late pregnancy SLEs and risk of cryptorchidism in a birth cohort. Prenatal SLE exposure was not associated with a statistically significant increase in the risk of cryptorchidism in male offspring. A small case population limits the statistical power of the study and future larger studies are required to evaluate this potential association.
Identifiants
pubmed: 31428056
doi: 10.3389/fendo.2019.00530
pmc: PMC6688069
doi:
Types de publication
Journal Article
Langues
eng
Pagination
530Références
Aust N Z J Psychiatry. 1976 Mar;10(1):27-32
pubmed: 1065311
Lancet. 2004 Apr 17;363(9417):1264-9
pubmed: 15094270
Physiol Behav. 2005 Jan 31;84(1):97-104
pubmed: 15642612
Epidemiology. 2007 May;18(3):356-61
pubmed: 17435445
Fertil Steril. 2008 Feb;89(2 Suppl):e33-8
pubmed: 18308057
J Clin Invest. 2008 Apr;118(4):1479-90
pubmed: 18340380
Clin Endocrinol (Oxf). 2009 Oct;71(4):459-65
pubmed: 19222487
Int J Androl. 2009 Aug;32(4):423-8
pubmed: 19515170
Philos Trans R Soc Lond B Biol Sci. 2010 May 27;365(1546):1697-712
pubmed: 20403879
Int J Androl. 2012 Feb;35(1):41-5
pubmed: 21651571
Am J Epidemiol. 2012 May 1;175(9):917-25
pubmed: 22454385
J Urol. 2012 Oct;188(4):1324-9
pubmed: 22902026
Nat Rev Endocrinol. 2014 Sep;10(9):553-62
pubmed: 24935122
Epidemiology. 2015 Jan;26(1):100-5
pubmed: 25329541
Endocrinology. 2015 Oct;156(10):3435-41
pubmed: 26241065
Physiol Rev. 2016 Jan;96(1):55-97
pubmed: 26582516
Fertil Steril. 2017 Jan;107(1):189-197.e8
pubmed: 27865450
Horm Behav. 1989 Sep;23(3):333-43
pubmed: 2793076
Int J Epidemiol. 2017 Oct 1;46(5):1384-1385j
pubmed: 28064197
Hum Reprod. 2019 Jul 8;34(7):1345-1355
pubmed: 31143949
Science. 1972 Jan 7;175(4017):82-4
pubmed: 5008583
Physiol Behav. 1978 Feb;20(2):193-5
pubmed: 662940
Lancet. 1993 May 29;341(8857):1392-5
pubmed: 8098802
Med J Aust. 1977 Sep 17;2(12):392-4
pubmed: 927276